Cristina Pora Classical Dance Academy        2023/24 Season
Please fill in all areas.
Sign in to Google to save your progress. Learn more
Student Full Name *
Students Date Of Birth *
MM
/
DD
/
YYYY
Address *
Phone Number *
Email Address *
Emergency Contact Name and Number *
How did you hear about us? *
Terms and Conditions
By submitting this form I hereby grant permission for the above mentioned student to participate in the Cristina Pora Classical Dance Academy 2023/24 dance season and I certify this student is in good physical condition and is able to participate fully in this program.  I release Cristina Pora Classical Dance Academy and its teachers from all liability in case of accident or bodily injury whether it be in class, performances or exams.  I understand that all classes will be conducted in the safest possible manner by trained professional instructors. By providing my email address, I consent to email communication with the Cristina Pora Classical Dance Academy and I understand that pictures and video of my child may be used on the school website, social media or for other forms of advertising for the studio.

I understand that the Cristina Pora Classical Dance Academy can not be held liable for any exposure to the COVID-19 virus caused by any misinformation on this form or the health history provided by each Student.

REFUND POLICY
All payments are non-refundable after the due date.
No credits or refunds will be given for missed classes.
Absolutely no Partial Refunds to students who want to withdraw from a term once the term has started. Exceptions will be made only for serious illness or injury.
No transfer of fees are allowed from one student to another.
If a student’s regular class falls on a holiday or a student misses classes due to illness or
vacation, arrangements should be made to take makeup classes before the end of the term.


Do you agree to the above Terms and Conditions? *
Class(es)
After submitting your form you will receive an invoice for payment.  Fees are listed below and are due: Monday, August 28, 2023, Monday, November 27, 2023 and Monday, March 18, 2023.  Please email cporadanceacademy@gmail.com if you have any questions.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy